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Home Health Valuation Multiples (2026)
EBITDA & revenue sale multiples, deal flow, and active acquirers - based on 226real disclosed M&A transactions in the home health space. Run the calculator below to price your business at current multiples.
What multiple does a home health sell for?
In the Under $5M EV range, a home health sold at a median of 4.7x EBITDA (middle 50% of deals 3.9x-6.3x) across 25disclosed M&A transactions, 2018-2026, from SEC EDGAR filings and verified press releases. That is the population midpoint — your specific number depends on margins, growth, customer concentration, and owner-dependence.
Updated 2026-07-31 · 25 disclosed deals · source window 2018-2026
| Size bracket | Median EV/EBITDA | Typical range (IQR) | n |
|---|---|---|---|
| Under $5M EV | 4.7x | 3.9x-6.3x | 25 |
Aggregate population median for the size bracket - disclosed transactions only (SEC EDGAR + verified press releases), 2018-2026, n≥10 per cell. A precise figure for your business depends on margins, growth, customer concentration, and owner-dependence. See the full Under $5M EV breakdown →
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State of Home HealthM&A in 2026
The home health M&A market is tracked across 226 disclosed transactions in the ExitValue.ai database (138 with EBITDA disclosed, 218 with revenue). The current market trend is growing.
Active acquirers include Kinderhook Industries, BrightSpring Health Services, UnitedHealth Group (Optum), Extendicare Inc.. Recent named transactions: Enhabit Home Health & Hospice (2026); Amedisys Divested Assets (107 locations) (2026); Amedisys Inc. (2025).
Premium valuations in home health are driven by cms star rating 4+ (quality-bonus payments + survey advantage in any sale process); multi-county geographic density (lhc / amedisys / encompass pay for fill-in geography); diversified referral base (no single hospital system above 25% of admits).
What compresses valuations: pdgm reimbursement compression exposure (review case-mix index trend before listing); single-payer concentration above 80% (medicare-only book limits buyer pool); branch-level rn turnover above 25% annually (priced in as transition risk).
Source: SEC filings, EDGAR 8-K/S-4, and verified press releases. Run the calculator below to see the specific multiples that apply to your business.
Recent named M&A deals in home health
Most-recent disclosed transactions. Click any deal for full detail (multiples, financials, source).
Sourced from SEC filings, EDGAR 8-K/S-4, and verified press releases.
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What drives a premium valuation
- ●CMS Star rating 4+ (quality-bonus payments + survey advantage in any sale process)
- ●Multi-county geographic density (LHC / Amedisys / Encompass pay for fill-in geography)
- ●Diversified referral base (no single hospital system above 25% of admits)
What compresses valuation
- ●PDGM reimbursement compression exposure (review case-mix index trend before listing)
- ●Single-payer concentration above 80% (Medicare-only book limits buyer pool)
- ●Branch-level RN turnover above 25% annually (priced in as transition risk)
Home Health valuation: common questions
What multiple does a home health sell for?
In the Under $5M EV range, a home health sold at a median of 4.7x EBITDA (middle 50% of deals 3.9x-6.3x) across 25 disclosed M&A transactions filed 2018-2026 (SEC EDGAR + verified press releases). That is the aggregate population midpoint for the size bracket; a precise figure for your specific business depends on margins, growth, customer concentration, and owner-dependence — run the ExitValue.ai home health calculator for that.
How is a home health business valued?
Home Health businesses are valued by benchmarking against comparable completed M&A transactions, then adjusting for the specific business. Owner-operator practices are typically priced on an earnings or seller-discretionary-earnings basis, while businesses at platform scale shift toward institutional earnings-multiple methodology. The ExitValue.ai engine selects the methodology that the comparable deal set actually used and adjusts for margin quality, growth, owner dependency, customer concentration, and recurring-revenue mix.
What drives home health valuation?
The biggest value levers in home health are recurring or repeat revenue, owner independence (the business runs without the founder), customer diversification (no single client dominates), a credible growth trajectory, and operating-margin quality relative to the vertical. In this space specifically, buyers pay up for cms star rating 4+ (quality-bonus payments + survey advantage in any sale process); multi-county geographic density (lhc / amedisys / encompass pay for fill-in geography); diversified referral base (no single hospital system above 25% of admits).
How many home health M&A deals are tracked?
ExitValue.ai tracks 226 disclosed home health M&A transactions, 138 with EBITDA disclosed, 218 with revenue disclosed, sourced from SEC filings, EDGAR 8-K/S-4 documents, and verified press releases and refreshed daily. Current market trend: growing.
Who buys home health businesses?
Home Health businesses are acquired by strategic acquirers (larger operators in the same space), and private-equity platforms and roll-up consolidators, and unknown. Recent named acquirers include Kinderhook Industries, BrightSpring Health Services, UnitedHealth Group (Optum), Extendicare Inc..
What is my home health business worth?
Run the ExitValue.ai home health calculator to see your business priced against the 226 disclosed home health transactions in the database. The engine applies adjustments for margin, growth, owner dependency, customer concentration, and recurring revenue mix to produce a tight range around the most-likely transaction value.
More on home health valuations
- Value a home health· run the calculator
- Who buys home health businesses?· active buyers
- Recent deal: Amedisys Agencies (TN, GA, AL)· comparable transaction
- Who acquired Amedisys Agencies (TN, GA, AL)?· buyer profile
- How to value a home health· long-form guide
Methodology details: how ExitValue computes valuation ranges · full home health calculator